钬激光前列腺剜除术治疗476 mL巨大前列腺增生:病例报告并文献复习
Holmium Laser Enucleation of the Prostate in a 476 mL Giant Prostatic Hyperplasia: A Case Report and Review of the Literature
摘要: 目的:探讨巨大前列腺增生的临床诊治。方法:回顾性分析我院收治巨大前列腺增生患者的临床资料,检索相关文献进行分析并讨论。结果:术前完善相关化验检查后行“钬激光前列腺剜除术”,手术顺利,术后1月随访,效果好。结论:经尿道钬激光前列腺剜除术可作为巨大前列腺增生的备选手术方案。
Abstract: Objective: To explore the clinical diagnosis and treatment of giant prostatic hyperplasia (GPH). Methods: We retrospectively analyzed the clinical data on a case of GPH associated with testicular torsion treated in our hospital and reviewed the relevant literature. Results: The patient underwent “Holmium Laser Enucleation of the Prostate (HoLEP)” after preoperative examinations. The follow-up results one-month post-surgery were satisfactory. Conclusion: HoLEP can be considered as a viable surgical alternative for patients with GPH.
文章引用:赵龙, 夏汉卿, 王科. 钬激光前列腺剜除术治疗476 mL巨大前列腺增生:病例报告并文献复习[J]. 临床医学进展, 2026, 16(8): 832-837. https://doi.org/10.12677/acm.2026.1682856

参考文献

[1] Emberton, M., Andriole, G.L., de la Rosette, J., Djavan, B., Hoefner, K., Vela Navarrete, R., et al. (2003) Benign Prostatic Hyperplasia: A Progressive Disease of Aging Men. Urology, 61, 267-273.
https://doi.org/10.1016/s0090-4295(02)02371-3
[2] Wang, W., Guo, Y., Zhang, D., Tian, Y. and Zhang, X. (2015) The Prevalence of Benign Prostatic Hyperplasia in Mainland China: Evidence from Epidemiological Surveys. Scientific Reports, 5, Article No. 13546.
https://doi.org/10.1038/srep13546
[3] Launer, B.M., McVary, K.T., Ricke, W.A. and Lloyd, G.L. (2021) The Rising Worldwide Impact of Benign Prostatic Hyperplasia. BJU International, 127, 722-728.
https://doi.org/10.1111/bju.15286
[4] Yonou, H., Goya, M., Miyazato, M., et al. (1999) Giant Prostatic Hypertrophy: A Case Report. Hinyokika kiyo Acta urologica Japonica, 45, 375-377.
[5] Chughtai, B., Forde, J.C., Thomas, D.D.M., Laor, L., Hossack, T., Woo, H.H., et al. (2016) Benign Prostatic Hyperplasia. Nature Reviews Disease Primers, 2, Article No. 16031.
https://doi.org/10.1038/nrdp.2016.31
[6] Wein, A.J., Coyne, K.S., Tubaro, A., Sexton, C.C., Kopp, Z.S. and Aiyer, L.P. (2009) The Impact of Lower Urinary Tract Symptoms on Male Sexual Health: EpiLUTS. BJU International, 103, 33-41.
https://doi.org/10.1111/j.1464-410x.2009.08447.x
[7] Anglickis, M., Platkevičius, G., Stulpinas, R., Miklyčiūtė, L., Anglickienė, G., Keina, V., et al. (2019) Giant Prostatic Hyperplasia and Its Causes. Acta medica Lituanica, 26, 237-243.
https://doi.org/10.6001/actamedica.v26i4.4209
[8] Domínguez, A., Gual, J., Muñoz-Rodríguez, J., Abad, C., García-Rojo, D., Hannaoui, N., et al. (2016) Giant Prostatic Hyperplasia: Case Report of 3987 ML. Urology, 88, e3-e4.
https://doi.org/10.1016/j.urology.2015.11.016
[9] Borojeni, S., Kosseifi, F., Dallongeville, A. and Durand, X. (2022) Holmium Laser Enucleation of a 696 Cc Prostate (HoLEP): The Largest Reported in the Literature. Urology Case Reports, 45, Article 102203.
https://doi.org/10.1016/j.eucr.2022.102203
[10] He, J., Chen, W.Q., Li, N., et al. (2022) China Guideline for the Screening and Early Detection of Prostate Cancer (2022, Beijing). Chinese Journal of Oncology, 44, 29-53.
[11] Sotimehin, A.E., Haile, E. and Gill, B.C. (2023) Contemporary Surgical and Procedural Management of Benign Prostatic Hyperplasia. Cleveland Clinic Journal of Medicine, 90, 745-753.
https://doi.org/10.3949/ccjm.90a.23026
[12] Homma, Y., Gotoh, M., Kawauchi, A., Kojima, Y., Masumori, N., Nagai, A., et al. (2017) Clinical Guidelines for Male Lower Urinary Tract Symptoms and Benign Prostatic Hyperplasia. International Journal of Urology, 24, 716-729.
https://doi.org/10.1111/iju.13401
[13] Shvero, A., Calio, B., Humphreys, M.R., et al. (2021) HoLEP: The New Gold Standard for Surgical Treatment of Benign Prostatic Hyperplasia. The Canadian Journal of Urology, 28, 6-10.
[14] Tricard, T., Xia, S., Xiao, D., Tong, Z., Gaillard, V. and Sun, J. (2023) Outcomes of Holmium Laser Enucleation of the Prostate (HoLEP) for Very Large-Sized Benign Prostatic Hyperplasia (Over 150 ML): Open Simple Prostatectomy Is Dead. World Journal of Urology, 41, 2249-2253.
https://doi.org/10.1007/s00345-023-04486-w
[15] Das, A.K., Han, T.M. and Hardacker, T.J. (2020) Holmium Laser Enucleation of the Prostate (HoLEP): Size-Independent Gold Standard for Surgical Management of Benign Prostatic Hyperplasia. The Canadian Journal of Urology, 27, 44-50.
[16] Sevryukov, F.A.S., Nakagawa, K.N., Kochkin, A.D.K., Volodin, M.A.V. and Semenychev, D.V.S. (2019) A Case of Successful Plasma Transurethral Enucleationof Benign Prostatic Hyperplasia the Size of 530 Cm3. Urologiia, 2, 59-63.
https://doi.org/10.18565/urology.2019.2.59-63
[17] Gopee, E.L., Hong, M.K.H. and Pham, T. (2016) Holmium Laser Enucleation of the Prostate in a 400 Cc Prostate: Case Report. Journal of Endourology Case Reports, 2, 21-23.
https://doi.org/10.1089/cren.2015.0017
[18] Rücker, F., Lehrich, K., Böhme, A., Zacharias, M., Ahyai, S.A. and Hansen, J. (2021) A Call for HoLEP: En-Bloc vs. Two-Lobe vs. Three-Lobe. World Journal of Urology, 39, 2337-2345.
https://doi.org/10.1007/s00345-021-03598-5